DEPARTMENT OF NURSING

POLICY STANDARDS

University of Arkansas for Medical Sciences

University Hospital

ADDENDUM:         2A    A.1

EFFECTIVE:            11/30/88

REVISION:                    8/07

APPROVAL:                  09/08

SUBJECT: UNIT 2A DESCRIPTION/POPULATION SPECIFIC/STAFF COMPLIANCE

Unit 2A is a 16 bed Neurosurgery/Trauma adult inpatient unit.  The adult patients are age 18 and older.  Patient population serviced on Unit 2A includes patients undergoing neurosurgical procedures and patients with multiple traumas. Unit 2A also supports progressive neurosurgical patients from age 12 and older that weigh at least 90lbs. The patient population originates through the Emergency Department, Outpatient clinics, transfers from outside facilities, direct admits, and transfers from other units/departments at UAMS. 

 The moderate acuity patient population includes, but is not limited to,  patients with no co-morbidities; patients admitted for work-up prior to treatment; patients admitted for symptom management involving one body system; patients with controlled pain; patients needing minimal assistance; patients requiring assessment, intervention, and evaluation every 8 hours or less for any body system; patients with simple, uncomplicated wound dressings; and/or patients receiving medication via any route requiring assessment/intervention every 4 hours or less. 

 The high acuity patient population includes, but is not limited to, patients admitted for symptom management involving 2 or more body systems; unstable multi-system organ failure; patients requiring assessment/intervention/evaluation every 2 to 4 hours; patients dependent on nursing to perform activities of daily living; patients confused or disoriented requiring assessment and intervention to meet their need for safety; patients requiring multiple fluid management/ continuous infusions of  IV fluid; patients receiving medication via any route requiring short term assessment/intervention every 2 hours or more frequently; patients requiring assessment and intervention of complex and extensive wound/injury site including significant dressings or packs and/or frequent assessment of wound/injury site; patients requiring hourly monitoring of intake and output, specific gravity, and lumbar drain assessments; and/or patients requiring extensive coordination of services and need for extensive assistance for discharge from hospital.